Provider Demographics
NPI:1366989782
Name:CROSSING BRIDGES COUNSELING CENTER
Entity type:Organization
Organization Name:CROSSING BRIDGES COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, LMFT
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:FALONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-509-5275
Mailing Address - Street 1:PO BOX 1217
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-0515
Mailing Address - Country:US
Mailing Address - Phone:503-509-5275
Mailing Address - Fax:
Practice Address - Street 1:9123 SE SAINT HELENS ST # 175
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-6858
Practice Address - Country:US
Practice Address - Phone:503-509-5275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ORT1007251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty